Percorrer por autor "Fine, Peter"
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- Diagnostic performance of AI-assisted software in sports dentistry : a validation studyPublication . Júdice, André; Brandão, Diogo; Rodrigues, Carlota; Simões, Cátia; Nogueira, Gabriel; Machado, Vanessa; Ferreira, Luciano Maia Alves; Ferreira, Daniel; Proença, Luís; Botelho, João; Fine, Peter; Mendes, José JoãoArtificial Intelligence (AI) applications in sports dentistry have the potential to improve early detection and diagnosis. We aimed to validate the diagnostic performance of AI-assisted software in detecting dental caries, periodontitis, and tooth wear using panoramic radiographs in elite athletes. This cross-sectional validation study included secondary data from 114 elite athletes from the Sports Dentistry department at Egas Moniz Dental Clinic. The AI software’s performance was compared to clinically validated assessments. Dental caries and tooth wear were inspected clinically and confirmed radiographically. Periodontitis was registered through self-reports. We calculated sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV), as well as the area under the curve and respective 95% confidence intervals. Inter-rater agreement was assessed using Cohen’s kappa statistic. The AI software showed high reproducibility, with kappa values of 0.82 for caries, 0.91 for periodontitis, 0.96 for periapical lesions, and 0.76 for tooth wear. Sensitivity was highest for periodontitis (1.00; AUC = 0.84), moderate for caries (0.74; AUC = 0.69), and lower for tooth wear (0.53; AUC = 0.68). Full agreement between AI and clinical reference was achieved in 86.0% of cases. The software generated a median of 3 AI-specific suggestions per case (range: 0–16). In 21.9% of cases, AI’s interpretation of periodontal level was deemed inadequate; among these, only 2 cases were clinically confirmed as periodontitis. Of the 34 false positives for periodontitis, 32.4% were misidentified by the AI. The AI-assisted software demonstrated substantial agreement with clinical diagnosis, particularly for periodontitis and caries. The relatively high false-positive rate for periodontitis and limited sensitivity for tooth wear underscore the need for cautious clinical integration, supervision, and further model refinements. However, this software did show overall adequate performance for application in Sports Dentistry.
- Elite athletes’ overall oral health, values and related quality of life : a cross-sectional studyPublication . Júdice, André; Brandão, Diogo; Botelho, João; Machado, Vanessa; Proença, Luís; Ferreira, Luciano M. A.; Stamos, Athanasios; Fine, Peter; Mendes, José JoãoThe present observational study aimed to identify the prevalence of oral health issues in this population and explore the relationship between oral health and factors relevant to athletic performance. One hundred and fourteen elite athletes triaged at a Sports Dentistry department from a university clinic were included for oral health assessment, self-reported periodontitis, basic erosive wear examination, and dental caries experience. They answered a sociodemographic questionnaire, oral health impact profile 14 to measure OHRQoL and OHV scale. Descriptive and inferential statistics assessed oral health outcomes and demographic or sport-related factors. Multivariable logistic regression explored predictors of poor oral health outcomes. The results reveal a high prevalence of oral health issues among elite athletes, with over half of the participants (51.8%) presenting two or more pathological or functional findings. Periodontal disease (55.1%), particularly gingivitis (51.8%), and dental caries (47.4%) were the two most common conditions, affecting nearly half of athletes. This high prevalence of oral conditions did not associate with worse OHRQoL and OHV. These results suggest that elite athletes face unique challenges regarding oral health, with some sex differences in oral health behaviors. Despite the high prevalence of oral diseases, related quality of life and values did not show any association, possibly due to the low perception of athletes.
- Sports dentistry intricacies with season-related challenges and the role of athlete-centered outcomesPublication . Júdice, André; Botelho, João; Machado, Vanessa; Proença, Luís; Ferreira, Luciano M. A.; Fine, Peter; Mendes, José JoãoSports dentistry is an emerging field focusing on the prevention, treatment, and management of oral health issues in athletes. This review critically examines the current state of sports dentistry, emphasizing the integration of oral health care into athletes' overall health management. The high prevalence of dental caries, erosion, and periodontal problems among athletes is linked to diet, habits, and increased risk of orofacial injuries. Routine oral health evaluations, particularly during the preseason, are recommended to tailor prevention strategies and address potential issues early on. The recently proposed Universal Screening Protocol for Dental Examinations in Sports is discussed, noting its potential limitations in terms of time and complexity. The review explores the challenges posed by athletes' demanding training and competition schedules, stressing the importance of incorporating oral health care into the medical team. Future research should investigate the feasibility and validity of self-reported questionnaires for screening oral health conditions, potentially simplifying the process for athletes. The review highlights the use of athlete-reported outcomes and self-reporting in sports dentistry as crucial for evaluating dental care effectiveness and monitoring long-term health outcomes. It concludes by emphasizing the need for streamlined, universally applicable protocols that fit athletes' schedules while providing comprehensive care, and the importance of further research to explore innovative screening tools and self-reported measures to transform routine care practices and reduce barriers to dental health for athletes.